0001140361-16-046810.txt : 20160106 0001140361-16-046810.hdr.sgml : 20160106 20160106100543 ACCESSION NUMBER: 0001140361-16-046810 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160104 FILED AS OF DATE: 20160106 DATE AS OF CHANGE: 20160106 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: KINGSTONE COMPANIES, INC. CENTRAL INDEX KEY: 0000033992 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 362476480 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 15 JOYS LANE CITY: KINGSTON STATE: NY ZIP: 12401 BUSINESS PHONE: 516 374-7600 MAIL ADDRESS: STREET 1: 15 JOYS LANE CITY: KINGSTON STATE: NY ZIP: 12401 FORMER COMPANY: FORMER CONFORMED NAME: DCAP GROUP INC DATE OF NAME CHANGE: 20050210 FORMER COMPANY: FORMER CONFORMED NAME: DCAP GROUP INC/ DATE OF NAME CHANGE: 19990702 FORMER COMPANY: FORMER CONFORMED NAME: EXTECH CORP DATE OF NAME CHANGE: 19920703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Seibald Jack D CENTRAL INDEX KEY: 0001186619 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-01665 FILM NUMBER: 161325559 MAIL ADDRESS: STREET 1: 1336 BOXWOOD DRIVE WEST CITY: HEWLETT HARBOR STATE: NY ZIP: 11557 FORMER NAME: FORMER CONFORMED NAME: SIEBALD JACK D DATE OF NAME CHANGE: 20020905 4 1 doc1.xml FORM 4 X0306 4 2016-01-04 0 0000033992 KINGSTONE COMPANIES, INC. KINS 0001186619 Seibald Jack D 1336 BOXWOOD DRIVE WEST HEWLETT NY 11557 1 0 0 0 Common Stock 2016-01-04 4 A 0 2000 0 A 135323 D Common Stock 174824 I Retirement Trust Common Stock 4600 I See footnote Received as director fees. Vests to the extent of 667 shares on each of January 4, 2017 and 2018 and 666 shares on January 4, 2019. Includes 113,000 shares jointly owned with Mr. Seibald's wife. Shares are owned by a limited partnership. Mr. Seibald may be deemed to have an indirect pecuniary interest in 100 shares owned by the limited partnership based upon his status as a general partner of the limited partnership and may be deemed to have an indirect pecuniary interest in an additional 4,500 shares owned by the limited partnership based upon his wife's status as a limited partner of the limited partnership. The filing of this form shall not be deemed an admission that Mr. Seibald is, for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, the beneficial owner of any shares owned by the limited partnership. This filing shall not be deemed an admission that the Reporting Person is, for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, the beneficial owner of any equity securities covered by this statement. /s/ Jack D. Seibald 2016-01-05